GP Bulletin
For Action
Sustaining the highest quality General Practice in Lambeth NHS Lambeth and NHS Southwark CCGs have been working jointly with LMCs across the two boroughs to consider how we can sustain the highest quality care in general practice. We want to support our Member Practices to have the time and resources to build capacity and leadership within primary care, and design a more sustainable future. As part of this work, we are pleased to announce that we have potentially secured the support of the Guy’s and St Thomas’ Charity to do this. So that we can jointly plan a way forward, we are holding an event on the 11th December at Kia Oval, Pakistan Room, 6.00pm start, refreshments will be provided, and we encourage each practice to send at least one representative to attend to share your views on how this funding can best be used to secure the future of general practice. To book your place at this event please follow the attached link http://www.eventbrite.co.uk/event/9183382745 Please contact Therese Fletcher. AD Primary and Community Care [email protected] for further information. ABPM LES Returns
Please be reminded the deadline for submission of claims relating to the Ambulatory Blood Pressure Machine Service is approaching.
If you have not provided the service in the specified months, I would be very grateful if you could let me know.
Please note the deadline for returns related to the August – October Period is 22nd November 2013. All returns to be sent to z [email protected] Flu Vaccinations
A first indication for current uptake for flu vaccinations in Lambeth is low. We ask all practices to actively vaccinated all those in ‘at risk’ groups and those aged 65+. Uptake levels will be available shortly and practices contacted directly for support and guidance if required.
********Last Call********* Action Learning Sets (please see attached flyer for further details) There are limited places left on Tuesday 3rd December 2013 for the Action Learning Set training.
21 November 2013 Action Learning is a developmental methodology which provides personal development and support by drawing on the insights and experiences of the individuals within the group. The key principle is derived from a coaching approach where individual members resolve their own issues via the support and challenge of the colleagues and peers within the group. The training is open to all disciplines within Lambeth including Medical, Nursing, Practice Managers and Administrative staff. *********** Last Call********** Lambeth Lunchtime education sessions, 1-3pm (lunch at 12.30) At the request of Lambeth clinicians the following training events have been commissioned by Lambeth Clinical Commissioning Group, lunch will be provided Thursday 5 December – Update on musculoskeletal Presenters Guy’s and St Thomas’ and King’s MCAT teams
Topics: referral pathways and practical learning sessions Venue: Guy’s Hospital To book a place for this event please contact: [email protected] For further information about the programme contact: [email protected] , KCH (Tue/Wed) Tel: 0203 299 4348; GSTT (Mon/Thu/Fri) Tel: 0207 188 4978 Mob: 07964 117 121 The NHS Cervical Cancer Screening Programme (Please see attached guidance) The NHS Cervical Cancer Screening Programme has authorised Lambeth, Southwark and Lewisham to implement HPV testing from 1/1/2014. Locally training was offered during 2012, to all those taking cervical smears, in preparation for this change. NHS England are now responsible for the commissioning of cancer screening programmes and are offering additional ‘top up’ training available through an on-line e-learning module. We would encourage all cervical smear takers to access the e-learning module at www.lrctc.org.uk and update their earlier training. Guidelines on how to access the online module are attached to this letter. In addition we have provided an ‘aide memoire’ for all clinical staff who take cervical samples and a flow chart of the new pathway. HPV is established as an important cause of cervical cancer, and an important issue locally
For Information
World AIDS Day World AIDS Day is internationally recognised on the 1st December every year. The purpose of the day is to raise awareness of HIV. This can be done by: Participate in National HIV Testing Week (NHTW) between the 22nd and 29th November 2013. NHTW is being managed nationally by Terrence Higgins Trust on behalf of HIV Prevention England. Its aim is to increase regular testing among the two most at-risk groups, black Africans and men who have sex with men. Among its supporters are the Department of Health, Public Health England, BASHH (British Association of Sexual Health and HIV), British HIV Association (BHIVA) and the National AIDS Trust. Information on the NHTW campaign can be found at the HIV Prevention England website http://www.hivpreventionengland.org.uk/Campaigns-Current/National-HIV-Testing-Week Materials have been produced to support this campaign and are available to view, download and order at https://www.surveymonkey.com/s/GFVMJWR Displaying HIV information in patient waiting rooms. Talk to patients about HIV and HIV testing
21 November 2013 Wear the red ribbon which is the international symbol of HIV awareness and make it available to staff and patients. Red ribbons, HIV awareness leaflets and posters are available free from the health promotion access catalogue. To order visit. http://www.hpac.lslsis.nhs.uk/HPAC/ By the end of 2012 an estimated 100,000 people were living with HIV of whom 25% were unaware of their HIV status. In Lambeth 3232 people access HIV care and 2554 in Southwark. Lambeth and Southwark have the highest HIV prevalence rates in the UK, 14.4 per 1000 Lambeth residents age 15-59 and 12.2 in Southwark. (HPE 2013) HIV is associated with serious morbidity, high costs of treatment and care, significant mortality and high number of potential years of life lost. However, people who are diagnosed early and get access to anti-retroviral therapy can expect near normal life expectancy. By actively promoting National HIV Testing Week and World AIDS Day we can all contribute to ending the stigma related to HIV and promote testing to reduce late diagnosis and improve health opportunities for those most at risk in our local population. Sources of Information Public Health England http://www.hpa.org.uk/web/HPAweb&Page&HPAwebAutoListName/Page/1201094588844 HIV Awareness & Training Materials There are over 100,000 people living with HIV in the UK. A quarter of these people in the UK who have HIV are unaware of their condition almost half are not diagnosed until they have been living with the condition for more than five years. As a practice in an area of high HIV prevalence you have an important role to play in ensuring that your patients know the facts about HIV, are aware how to protect themselves and recognise if they need an HIV test Our information leaflets include information on HIV transmission, symptoms of early HIV infection and HIV tests. All our resources signpost people to NAT's trusted, award-winning website www.HIVaware.org.uk which includes a wealth of information on HIV, interactive content and real stories of people living with HIV. Our leaflets and posters are available for you to: · Download free of charge from our HIVAware website · Order from us, at cost, as part of a bulk order · Purchase on-line in smaller quantities from our online shop http://shop.nat.org.uk/ · Print yourself from artwork that we will supply free of charge. Living Well Network Hub (Please see attached flyer) Please find attached a flyer detailing the opening of the Living Well Network Hub in the north of Lambeth. This will be operational from 18th November 2013 and will be the new front door to mental health services. Referral routes to Lambeth Early Onset (LEO), OASIS, Talking Therapy and Crisis services will remain the same.
This service has been developed as part of the Living Well Collaborative and has been designed by GPs, representatives from the voluntary and statutory sector as well as users and carers. This pilot is open to approximately half of Lambeth GP practices which are currently served by the North SLaM Community Mental Health Team (there is a list in the enclosed flyer) and we hope to roll this out to all practices from April 2014.
South East London Commissioning Strategy Programme
As you will know, South London Healthcare NHS Trust was dissolved and its services, staff and sites transferred to local NHS providers by 01 October 2013. This is a good foundation for NHS services in south
21 November 2013 east London, but all involved agree it is not sufficient to create local healthcare services which are of a consistently high quality and are financially sustainable.
The recent Court of Appeal ruling on proposed Lewisham service changes leaves a financial shortfall in the local health economy which, in the longer term, may adversely affect the quality of services.
There is a national requirement now for CCGs to develop two-year operating plans and five-year individual strategic plans, working closely with providers and social care colleagues. NHS England expects CCGs to come together and plan across a broader footprint to address strategic challenges and to engage NHS England’s commissioners in local arrangements to ensure joined-up commissioning.
CCGs are currently considering NHS England’s “Call to Action in London”, alongside the specific needs and aspirations of local people and their strategic plans will be framed by their local priorities and the national policy context.
The six south east London CCGs are already collaborating on the community- based care programme. Building on the individual five-year strategies that CCGs are developing with their local Health and Well- being Boards, the CCGs are now planning to work together and with NHS England, in close partnership with local providers and local authorities, to develop and deliver a robust (shared) five year commissioning strategy across the six boroughs. This will complement each CCG’s work with its partners and address issues which cannot be addressed by one CCG alone or where CCGs agree there is added value from working together. The aim is to respond to local health needs and health inequalities and to ensure the clinical and financial sustainability of local healthcare services.
The process of co-designing and co-delivering this commissioning strategy will build on existing strengths, as well as identifying where change is needed and planning how best to achieve it. It will involve extensive engagement. Key principles are:
It will be based on local needs and aspirations, It will focus on improving health and reducing inequalities, It will secure the delivery of high quality, clinically safe and effective services which meet the needs of local people and are sustainable, It will take a partnership approach and engage local people and representatives It will be commissioner-led and clinically-driven to ensure that the needs of local people remain at the heart of the strategy.
The CCGs are establishing a Partnership Group to bring together local authority and provider chief executives and medical directors with CCGs’ chairs and chief officers and NHS England colleagues to work with them to develop, shape and steer the strategy. A launch event for this Partnership Group is being held on 22 November 2013. Further information will be available after this event.
Voiceability Voiceability have been commissioned to provide NHS Complaints Advocacy service for patients, it is free and independent. The contact details are set out below Website is www.nhscomplaintsadvocacy.org VoiceAbility Telephone helpline number 0300 330 5454 MSK Physiotherapy Choose and Book All MSK Physiotherapy appointments at Guy's and St Thomas' Hospital can now be booked through choose and book. The average DNA rate in the first 6 months of this year from patients referred 21 November 2013 through Choose and Book is 9.3% compared to 14.1% for all referrals. Highlighting one of the benefits to using choose and book as well as patients being able to access the service quicker due to no delays in referrals being sent and contacting patients to book appointments, How to find the services in Choose and Book? You can find these services by choosing the following: Specialty: Physiotherapy Clinic Type: Musculoskeletal This service is restricted to 16+ years of age. Advice & Guidance (A&G) Please note that the A&G facility within CAB is also available for GPs to use. When using Advice and Guidance, please remember that you will need to use CAB web-based – using it via your clinical systems does not reveal the information to us. If you need any information about the Physiotherapy Services provided at Guy’s and St Thomas’ NHS Foundation Trust, please feel free to contact Jenny Heal on [email protected]. Please contact me directly if you have any further queries regarding our Choose and Book services. Changes to referrals to D.V.T clinic at Kings College Hospital (Please see attached guidance) In line with recent hospital changes, as of 2nd December 2013 we will no longer accept referrals to DVT clinic by fax. To refer a patient Please call 07699 115300 between 9am – 5pm quoting call sign ‘DVT’. The DVT nurse will call you back, normally within 15 minutes, to discuss the appropriateness of your referral and give your patient an appointment time. Once accepted, referrals must be made in writing. Referrals can be emailed to [email protected]. You can find us on the NHS email by searching “dvtclinc”. Patients can still bring a written referral with them should you prefer. Outside these times patients should attend A&E with a referral letter. Please see attached guidance. We will now send results to you by email. European Antibiotic Awareness Day European Antibiotic Awareness Day (EAAD) is a Europe-wide initiative, which takes place on 18 November each year, with activities to emphasise the critical importance of responsible antibiotic prescribing in both primary and secondary care. A range of educational materials are available to help healthcare professionals implement local campaigns and initiatives. These can be downloaded from the Department of Health website. Lambeth CCG have also written a statement in support of EAAD which can be found on our public website http://www.lambethccg.nhs.uk/NewsPublications/Latest%20News/Pages/Areyouantibioticaware.aspx Training Opportunities
INFORM (INsulin For On-going PRactice Management) Insulin management workshop helping people with Type 2 Diabetes to continue insulin therapy. 20-25 places available on a first come first served basis. Target Audience: Community Nurses/Matrons, Practices Nurses and GP’s working in Lambeth and Southwark Date: Thursday, 28th November Timings: 9.30am to 5pm Venue: King George’s Conference Centre, Stockwell YMCA, SW9 Contact Details: [email protected] ******************************************************************** Free Training Opportunities (Please see attached flyers)
Please find attached details of two new training courses available free to health and social care staff and volunteers providing health and social care services in Lambeth and Southwark.
21 November 2013 The training skills course is a two day course and you may find it useful if you have to provide training, presentations etc. Please ensure you can commit to the time prior to booking the course.
Substance use and MSM is a new course which will provide the learner with increased knowledge of Men who have sex with Men (MSM) substance use and the impact on sexual health and risks associated with substance use.
If you would like to attend any of these course please follow the instructions on the attached flyers
********************************************************************** IUD/IUS Fitters’ Forum for Primary Care Staff (Please see agenda details) Thursday 28th November 2013 1:00pm - 3:30pm Gracefield Gardens SW16 2ST ********************************************************************* Clinical Update in Sexual Health, Saturday 7 th December 2013 Registration from 9am programme 10.00am -15.45pm This is our Annual Updating Day suitable for all health professional working in the field of sexual and reproductive health, who is required to advise patient on wide range of issues, and who need to be fully inform about recent development and current thinking. The course is recognised by the Faculty of Sexual & Reproductive Healthcare and is valid for 6 hours of re-certification of the DFSRH also CPD. Date: Saturday 7th December 2013 Time: 10am to 15.45pm Venue: Weston Education Centre, King’s College Hospital, London, SE5 9RS Fee: Doctors £100, Nurse & others £50 Application and further information on this course can be downloaded from south East London Sexual Health & HIV Network http://selnet.org.uk or please contact Grace Gray, training administrator, 020 3299 4206, **************************************************** Free education session on assisted conception at Guy’s Hospital
An evening seminar for GPs, organised by Guy’s and St Thomas’ and the Royal College of General Practitioners.
Mr Yacoub Khalaf, Clinical Director of the assisted conception unit at Guy’s and St Thomas’ and his team will present on subfertility and assisted conception.
Date: Thursday 12 December 2013 Time: Buffet from 7.00pm Meeting starts 7.40pm Venue: Robens Suite, Guy’s Tower, Guy's Hospital, Great Maze Pond, London SE1 9RT
Attendance certificates will be provided on the day.
Bookings must be made online: http://www.rcgp.org.uk/courses-and-events/london/south-london- faculty/ease--women-subfertility-and-assisted-conception.aspx
Free Sexual Health Promotion Training The Guys and St Thomas Sexual Health Promotion Team provide free training to all staff groups working with the local population.
21 November 2013 In the forthcoming months we are delivering the following courses: Training Skills in Practise - 28th and 29th November 2013 Working with Men who have sex with Men -(Equality and Inclusiveness in service delivery) 6th December 2013 and 7th March 2014 Substance misuse and MSM - 12th December 2013 Advanced HIV Awareness - a non-clinical 1 day workshop 14th February 2014 If you would like more information about these courses or you would like to attend any of the training courses please contact [email protected] or [email protected] We can also support you too identify sexual health training needs within your practice. If you would like to know more please contact us at the above email links. ********************************************************** Free orthopaedic seminar for GPs at Guy’s and St Thomas’ The Orthopaedic Centre at Guy’s would like to invite all GPs to a free evening workshop on Thursday 23 January on upper limb medical conditions.
Topics will cover:
MCATTs Surgical treatment options Pain management Cost: free
Date: Thursday 23 January 2014, 6:30pm-8.30pm
Venue : Robens Suite, Floor 29 Tower Wing, Guys Hospital, Great Maze Pond, London, SE1 9RT
This evening event carries two CPD points. There will be clinical case discussions and attendance certificates provided on the day.
To book a place or request further information please email: [email protected]
21 November 2013